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Alabama rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.39 / $380.39 / $380.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.20 / $380.39 / $380.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.80 / $336.80 / $336.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $519.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $601.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.08 / $225.76 / $342.28